NPIMap

Organization Active NPI

Pure Dental

  • Dentist
  • Oakdale, MN
National Provider Identifier
1679947287
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12647 Issued in MN
Legal business name
PURE DENTAL
Practice address
6230 10TH St N
Suite #520
Oakdale, MN 55128-6158
Phone
(651) 731-3064
Fax
(651) 731-9340
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amy Truong, DDSNPI 1811122757
Title
Dentist
Phone
(651) 329-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D12647 MN Primary

Addresses

Primary practice location

6230 10TH St N
Suite #520
Oakdale, MN 55128-6158

Mailing address

6230 10TH St N
Suite #520
Oakdale, MN 55128-6158
Phone (651) 731-3064

National Provider Directory

National Provider Directory

Locations

6230 10th St N
Ste 520
Oakdale, MN 55128
Phone (651) 731-3064

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1679947287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 10TH ST N",
            "address_2": "SUITE #520",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286158",
            "telephone_number": "651-731-3064",
            "fax_number": "651-731-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 10TH ST N",
            "address_2": "SUITE #520",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286158",
            "telephone_number": "651-731-3064",
            "fax_number": "651-731-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-329-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.